NPI 1770768624

Gabrielle Durbin

Practitioner Private Vehicle Rathdrum, ID

Practice location

Address: W 7164 Diagonal, Rathdrum, ID 83858-0283
Phone: (208) 755-2368
Mailing address: PO Box 283, Rathdrum, ID 83858-0283

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence GT203134G (ID)

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Registry record

NPI: 1770768624
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jan 2008
Record last updated: 9 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.